Consejo General Colegios Oficiales de Médicos de España, Madrid, Spain.
Department of Medical Oncology, IMIB-Arrixaca, Murcia, Región de Murcia, Spain.
Hum Resour Health. 2023 Aug 24;21(1):70. doi: 10.1186/s12960-023-00857-x.
There is a growing interest in understanding the impact of duty hours and resting times on training outcomes and the well-being of resident physicians. However, to this date no state-wide analysis exists in any European country.
Our aim is to describe the shift work scheduling and to detail the degree of compliance with the Spanish legislation and the European Working Time Directive (EWTD) of Spanish resident physicians, focusing on territorial and specialty distribution.
A descriptive cross-sectional analytical study was designed through an online survey adapted from the existing literature.
Out of the 2035 surveyed resident physicians undergoing PGT in Spain, 80.49% exceeded the 48 h per week limit set by the EWTD and 13% of them did not rest after a 24-h on-call shift. The mean number of on-call shifts in the last 3 months was 15.03, with the highest mean reported in Asturias, La Rioja, and Extremadura. 51.6% of respondents had a day-off after a Saturday on-call shift. Significant differences are observed by region and type of specialty.
Resident physicians in Spain greatly exceed the established 48 h/week EWTD limit. Likewise, non-compliance with labor regulations regarding mandatory rest after on-call duty and minimum weekly rest periods are observed.
人们越来越关注工作时间和休息时间对住院医师培训结果和幸福感的影响。然而，迄今为止，任何欧洲国家都没有进行过全州范围的分析。
我们旨在描述轮班工作安排，并详细说明西班牙住院医师遵守西班牙法规和欧洲工作时间指令（EWTD）的程度，重点关注地域和专业分布。
通过在线调查设计了一项描述性的横断面分析研究，该调查改编自现有文献。
在接受西班牙 PGT 的 2035 名住院医师中，80.49%超过了 EWTD 规定的每周 48 小时限制，其中 13%的人在 24 小时随叫随到轮班后没有休息。过去 3 个月的平均随叫随到轮班次数为 15.03 次，其中阿斯图里亚斯、拉里奥哈和埃斯特雷马杜拉的报告平均值最高。51.6%的受访者在周六随叫随到轮班后有一天的休息时间。按地区和专业类型观察到显著差异。
西班牙的住院医师大大超过了每周 48 小时的 EWTD 限制。同样，在随叫随到值班后强制休息和最低每周休息时间方面，也存在违反劳动法规的情况。
